Dna Pediatric Counseling Services & Resources

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DNA PEDIATRIC COUNSELING SERVICES & RESOURCES

Practice address

9351 E Heather LN
Miramar, FL 33025-2638

Phone

(786) 356-9394

NPI assigned

Jul 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shirley Mathieu, LCSWNPI 1295273779

Title

Owner/Therapist

Phone

(786) 356-9394

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirley Mathieu, MSW

  • Clinical Social Worker
  • Miramar, FL
  • NPI 1295273779
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658534400000",
    "number": "1083349948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 MAIN ST # 545",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257809",
            "telephone_number": "305-707-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 E HEATHER LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252638",
            "telephone_number": "786-356-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA PEDIATRIC COUNSELING SERVICES & RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A",
        "authorized_official_last_name": "MATHIEU",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "786-356-9394",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295273779",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Miramar, FL
• Providers in Miramar, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.